Sensitivity Issues After Circumcision: What to Expect - Urology

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Sensitivity issues after circumcision?


It has been about three weeks since my circumcision, and most of the wound has healed, with the stitches already gone.
However, the sensitivity of the glans is quite bothersome.
Recently, I've noticed that when I have an erection at night while sleeping, the urethral opening rubs against my underwear, causing discomfort and even pain.
Wearing briefs is worse than boxers; at least boxers provide some relief.
With briefs, the rubbing is unavoidable, and the first urination after that can be painful (subsequent urination is usually fine).
I initially thought it might be urethritis, but my urine tests came back normal.
Sometimes, when walking, the friction on the glans can also cause some pain (and it happens when using the restroom as well).
Is this normal? If not, what could be the possible causes? How many weeks will it take for the sensitivity to decrease so that my underwear doesn't cause pain at the urethral opening? What can I do to avoid this pain and help with the keratinization of the glans?

Wuming, 20~29 year old female. Ask Date: 2010/09/04

Dr. Xu Weikai reply Urology


Hello, this is the most unsatisfactory aspect after circumcision.
Many people undergo the procedure for sexual function, only to end up with issues such as pain during erection and premature ejaculation.
The good news is that these symptoms tend to diminish over time as the glans becomes less sensitive due to regular friction.
Therefore, personally, I always make it clear before the surgery that I will leave some foreskin during the procedure, covering about 1/2 to 2/3 of the glans, with only a small portion exposed.
This may make cleaning a bit more cumbersome, but it significantly reduces the problems of premature ejaculation and friction-related pain.
Note: It generally takes about 6 months or more to gradually adapt.
If there are any unclear points, feel free to ask again for further discussion and research.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/09/04

More Info


After circumcision, it is common for individuals to experience heightened sensitivity in the glans (the head of the penis). This sensitivity can lead to discomfort, especially during activities such as walking or sleeping, where friction against clothing can occur. Given that you are three weeks post-surgery, it is important to understand the healing process and what to expect.


Understanding Sensitivity After Circumcision
1. Healing Process: After circumcision, the skin around the glans, which was previously covered by the foreskin, is exposed to air and friction for the first time. This area may take several weeks to months to adapt to its new environment. The initial sensitivity is a normal part of the healing process as the skin begins to keratinize (develop a protective layer).

2. Sensitivity and Discomfort: The sensitivity you are experiencing, particularly during erections or when your underwear rubs against the glans, is quite common. The glans is rich in nerve endings, and without the foreskin, it can feel more sensitive to touch and friction. This can lead to discomfort, especially when wearing tighter-fitting underwear like briefs, which can exacerbate the sensation of rubbing.

3. Pain During Urination: The pain you describe during the first urination after experiencing friction may be due to irritation of the urethra or the glans itself. If the glans is sensitive, any friction or pressure can lead to temporary discomfort. However, if the pain persists or worsens, it is advisable to consult a healthcare professional to rule out any potential complications such as infection or inflammation.


Managing Sensitivity and Discomfort
1. Choosing the Right Underwear: Opt for loose-fitting underwear, such as boxers, which can help minimize friction against the glans. This can provide a more comfortable experience, especially during activities that may cause movement and rubbing.

2. Moisturizing: Applying a gentle, fragrance-free moisturizer to the glans can help reduce sensitivity over time. This can also assist in the keratinization process, making the skin less sensitive to touch.

3. Gradual Exposure: Allow your glans to gradually adapt to exposure. Avoid excessive stimulation or friction during this healing phase. Over time, the sensitivity should decrease as the skin becomes accustomed to its new environment.

4. Hygiene: Maintain good hygiene to prevent any potential infections. Clean the area gently with mild soap and water, and ensure it is thoroughly dried afterward.

5. Consultation with a Healthcare Provider: If the sensitivity does not improve after a few weeks, or if you experience persistent pain, it is essential to consult with a urologist or your primary care physician. They can assess whether there are any underlying issues that need to be addressed, such as infections or abnormal healing.


Timeline for Recovery
The timeline for desensitization can vary significantly among individuals. Generally, many men report a decrease in sensitivity within 6 to 12 weeks post-circumcision. However, complete adaptation can take longer. Patience is key during this healing process, and following the above recommendations can help facilitate a more comfortable recovery.

In summary, while heightened sensitivity after circumcision is normal, it can be managed through proper care and adjustments in clothing. If discomfort persists or worsens, seeking medical advice is crucial to ensure a healthy recovery.

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